Individual
MRS. ANNETTE MARIE HERTZLIN-LOCKAMYEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
27 S PLATT ST, ALBION, NY 14411-1431
(585) 303-3724
(585) 589-1036
Mailing address
117 DELAINA ROSE CIR, BROCKPORT, NY 14420-9344
(585) 303-3724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069241-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02432180
—
NY
Enumeration date
10/19/2006
Last updated
10/17/2007
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